| Barnes Physical Therapy, Llc | |
|
1250 W Bridge St, Blackfoot, ID 83221-5095 | |
| (208) 681-3757 | |
| Not Available |
| Full Name | Barnes Physical Therapy, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1250 W Bridge St, Blackfoot, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548524440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT-3009 (Idaho) | Primary |
| Provider Name | Trevor G Barnes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720340060 PECOS PAC ID: 6901055714 Enrollment ID: I20121029000298 |
| Provider Name | Joshua Paul Strait |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063869816 PECOS PAC ID: 7719279074 Enrollment ID: I20160706001493 |
| Provider Name | Keegan D Parmer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871029660 PECOS PAC ID: 6901174028 Enrollment ID: I20170614001233 |
| Provider Name | Nicole Bair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467942144 PECOS PAC ID: 9234486572 Enrollment ID: I20180718001837 |
| Provider Name | Jessica Annelaine Vandyke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104394659 PECOS PAC ID: 9931448305 Enrollment ID: I20190301000069 |
| Provider Name | Jacob Matthew Pettit |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437888062 PECOS PAC ID: 0345625331 Enrollment ID: I20220912001352 |
| Mailing Address | Practice Location Address |
|---|---|
| Barnes Physical Therapy, Llc 286 Willis St, Blackfoot, ID 83221-3362 Ph: (208) 681-3757 | Barnes Physical Therapy, Llc 1250 W Bridge St, Blackfoot, ID 83221-5095 Ph: (208) 681-3757 |
Tyce Alden Stewart, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123 Fax: 208-782-1885 | |
Bryan J. Gibby, MSPT, CWS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1492 Christensen Dr, Blackfoot, ID 83221 Phone: 208-240-7221 | |
Jessica Annelaine Vandyke, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 282 W Bridge St, Blackfoot, ID 83221 Phone: 208-684-0021 | |
Brian Don Boehme, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1441 Parkway Dr, Blackfoot, ID 83221 Phone: 208-785-2600 | |
Pete Richar Johnson, Physical Therapist Medicare: Medicare Enrolled Practice Location: 131 N Oak St, Blackfoot, ID 83221 Phone: 208-684-2444 | |
Mr. Dustin Cade Schmitt, MPT, CSCS Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 285 W Francis St, Blackfoot, ID 83221 Phone: 208-785-0123 | |
Jonathan Dac-moang Liem, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1441 Parkway Dr Ste 1, Blackfoot, ID 83221 Phone: 208-785-3446 Fax: 208-980-7241 |